26868 1028 TUSCANY PLACE, Building Permit Confirmed-B�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR PLUMBING
��and/or GAS /PIPING PERMIT
Dafe.. .' �- -- --
.. A4..../Permit No._ .v. �------------------------------
The undersigned hereby makes application to the Plumbing Inspector of the City of Sen Jose
for a permit to install plu 7 u y�¢W�a�fl stn the rovers,, side.
Exemption from requir�- yt"e of C`aliT.Fa fnb�lQj/Vontrec}or's License is hereby claimed
by undersigned: as owner ❑ statemen(t�filed ,
Undersigned attests that his State of ie on s e
is in full force and effect and properly au 1 u'�7 � �1' /
San Jose City Business License #'
I certify that in the performance of the work for which this permit is issued I shall not employ
any person in any enner so as to violate the workman's compensation laws of California.
OWNER
ADDRESS of .
USE OF BUILDING t
Signe _.. t . ...
280�+O1n
1028 TUSCANY PLACE ANTHONY POOLS
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